Individual provider Active NPI

Katherine Grace Krob, APN, WHNP

  • Women's Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1508428939
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209019290 Issued in IL
Practice address
1455 N Milwaukee Ave FL 2
Chicago, IL 60622-2015
Phone
(773) 435-9036
NPI assigned
Jul 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 209019290 IL Primary

Addresses

Primary practice location

1455 N Milwaukee Ave FL 2
Chicago, IL 60622-2015

Mailing address

PO Box 14000
Belfast, ME 04915-4033
Phone (773) 435-9036

Other practice location 1

250 E Superior St
Chicago, IL 60611-2914
Phone (312) 926-2000

Other practice location 2

900 N Kingsbury St Ste 130N
Chicago, IL 60610-7457
Phone (312) 775-1100

Other names 1

  • Ms. Katherine Grace Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209019290ILMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Together Women'S Health Medical Group of Illinois, PLLC PastSince Jun 24, 2023 Accepting new patients
Fahimeh Sasan,D.O., P.C Past Accepting new patients
Centers for Reproductive Medicine and Wellness, LLC Past Accepting new patients
Vios Fertility Institute Chicago Past Accepting new patients
Peach State Medical Practice, PC Past Accepting new patients
Reena Jabamoni MDSC Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1508428939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14000",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154033",
            "telephone_number": "773-435-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 N MILWAUKEE AVE FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222015",
            "telephone_number": "773-435-9036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 E Superior St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112914",
            "country_code": "US",
            "telephone_number": "312-926-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Kingsbury St Ste 130N",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606107457",
            "country_code": "US",
            "telephone_number": "312-775-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROB",
        "first_name": "KATHERINE",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "APN, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209019290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BROWN",
            "middle_name": "GRACE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.